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<html>

<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>H+ 客户信息维护</title>
    <link rel="shortcut icon" href="../../../content/static/img/favicon.ico">
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    <link href="../../content/static/js/plugins/bootstrap-fileinput/css/fileinput.css" media="all" rel="stylesheet" />
    <!-- <link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.5.0/css/all.css" crossorigin="anonymous"> -->
    <style type="text/css">

    </style>
</head>

<body class="gray-bg">
    <div class="wrapper wrapper-content animated fadeInRight">
        <div class="row">
            <div class="col-sm-12" <div class="ibox float-e-margins">
                <div class="ibox-title">
                    <ol class="breadcrumb">
                        <li><a>企业信息</a></li>
                        <li><a>企业信息维护</a></li>
                    </ol>
                </div>
                <div class="ibox-content">
                    <blockquote>
                        <small>账户信息</small>
                    </blockquote>
                    <form class="form-horizontal m-t" id="signupForm" novalidate="novalidate" style="border-top: 1px solid #1ab497;">
                        <div class="form-group" style="margin-top: 15px">
                            <label class="col-sm-1 control-label">商户名称</label>
                            <div class="col-sm-3">
                                <input id="confirm_password" class="form-control" type="text">
                            </div>
                            <label class="col-sm-1 control-label tooltip-demo">商户代码
                            </label>
                            <div class="col-sm-3">
                                <input id="firstname" class="form-control" type="text" readonly>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">管理员账号</label>
                            <div class="col-sm-3">
                                <input id="lastname" class="form-control" type="text" aria-required="true" aria-invalid="false">
                            </div>
                            <label class="col-sm-1 control-label">用户数</label>
                            <div class="col-sm-3">
                                <input id="password" class="form-control" type="text" readonly>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">开户日期</label>
                            <div class="col-sm-3">
                                <input id="confirm_password" class="form-control" value="2018-12-11" type="text"
                                    readonly>
                            </div>
                            <label class="col-sm-1 control-label">到期日期</label>
                            <div class="col-sm-3">
                                <div class="radio i-checks">
                                    <input id="confirm_password" class="form-control" value="2099-12-31" type="text"
                                        readonly>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">管理员姓名</label>
                            <div class="col-sm-3">
                                <input id="username" class="form-control" type="text" aria-required="true" aria-invalid="true">
                            </div>
                            <label class="col-sm-1 control-label">所属行业</label>
                            <div class="col-sm-3">
                                <div class="input-group">
                                    <input type="text" class="form-control" id="test_data">
                                    <div class="input-group-btn">
                                        <button type="button" class="btn btn-white dropdown-toggle" data-toggle="dropdown">
                                            <span class="caret"></span>
                                        </button>
                                        <ul class="dropdown-menu dropdown-menu-right" role="menu">
                                        </ul>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">公司地址</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                            <label class="col-sm-1 control-label">网址</label>
                            <div class="col-sm-3">
                                <input id="username" class="form-control" type="text" aria-required="true" aria-invalid="true">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">备注</label>
                            <div class="col-sm-3">
                                <textarea id="ccomment" name="comment" class="form-control" required="" aria-required="true"></textarea>
                            </div>
                        </div>
                    </form>
                </div>
                <div class="ibox-content" style="border-bottom: 1px solid #eee">
                    <blockquote>
                        <small>其他信息</small>
                    </blockquote>
                    <form class="form-horizontal m-t" novalidate="novalidate" style="border-top: 1px solid #1ab497;">
                        <div class="form-group" style="margin-top: 15px">
                            <label class="col-sm-1 control-label">上传logo</label>
                            <div class="col-sm-3" style="width: 307px;">
                                <div class="file-loading">
                                    <input id="file-es" name="file-es[]" type="file">
                                    <!-- multiple -->
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">微信</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                            <label class="col-sm-1 control-label">单位电话</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">邮箱</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                            <label class="col-sm-1 control-label">邮编</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-1 control-label">传真</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                            <label class="col-sm-1 control-label">备注</label>
                            <div class="col-sm-3">
                                <input id="lastname" name="lastname" class="form-control" type="text" aria-required="true"
                                    aria-invalid="false">
                            </div>
                        </div>
                    </form>
                </div>
                <div role="application" class="wizard clearfix">
                    <div class="actions clearfix btn_more">
                        <ul role="menu" aria-label="分页">
                            <li aria-disabled="true"><a href="#previous" role="menuitem">保存</a></li>
                            <li aria-hidden="false" aria-disabled="false"><a href="#next" role="menuitem">预览</a></li>
                            <li class="disabled"><a href="#cancel" role="menuitem">取消</a></li>
                        </ul>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <script src="../../content/static/js/jquery.min.js?v=2.1.4"></script>
    <script src="../../content/static/js/bootstrap.min.js?v=3.3.5"></script>
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    <script src="../../content/static/js/plugins/validate/jquery.validate.min.js"></script>
    <script src="../../content/static/js/plugins/validate/messages_zh.min.js"></script>
    <script>
        $(document).ready(function () {
            $('#file-es').fileinput({
                language: 'zh',
                uploadUrl: '#',
                allowedFileExtensions: ['jpg', 'png', 'gif']
            });
        });
    </script>
</body>

</html>